Matt Sackett

@DrGeorgeShaw Very exciting! Can’t wait to get started at our center as well #centrahealth

Excited to participate in the pioneering Integra-D trial. Today we implanted the 7th, 8th and 9th human implants in the world. Combined ICD+CCM therapy in one device. Feeling hopeful for our pts. Proud of my team and everyone involved. This is the future. #EPeeps #ImpulseDynamics

@YGandye @Salome59131093 Great work! So proud of your progress! You are proving that the Madaktari mission of training rather than just doing is really working!! I am very proud to be part of your team

Local team result. Thanks for madaktari Africa we can now sliwly start to go. In between Ekg before Crt and dar right Ekg after Crt.

@YGandye @Salome59131093 Incredible week of cases as Madaktari Africa team of David Singh and Dr Nitish Badwar did an amazing group of cases including the first cases of Conduction system pacing in sub Saharan Africa, multiple complex PVC and WPW cases,pacers ICDs. @YGandye @drdavidsingh , @madaktari

Jakaya Kikwete Cardiac Institute (Jkci) ,Tanzania, the second and the only becoming busy Ep lab south of Sahara desert with 1.8bil inhabitants by 2021 estimates. Starting on 10th through 14th July 2023 saved at least 21 cases ( ablations, conductive system pacing and Biv pacing).

@YGandye @Jakaya @Salome59131093 Always looking for new EPs to join Madaktari Africa on dedicated EP support camps. Great work by @YGandye with @DavidSinghMD and his team

Ep cases @Jakaya kikwete cardiac insititute. Given the complexity of the Ep field and manpower scarce, in aggregate, we target at least 50% (50% assistence) of cases done annually by local team starting on July 2025. Alot of support needed in similar manner Madactari Africa does

Great week of cases at JKCI in Tanzania w ⁦@YGandye⁩. First zero flouro cases in subsaharan Africa. Great mapping by Stu Catto. #madaktari

Persistent Atrial Fibrillation With Successful #Convergent Ablation @Drmattsackett and colleagues present a case of persistent #AFib and the successful restoration of sinus rhythm with convergent ablation. Read the case study from our April issue here: okt.to/hyM34C

Incredible working with the great people of JKCI. @YGandye is bringing treatment of heart rhythm disorders to the forefront in Tanzania!

Great week of cases at J Kikwete Cardiac institute in Tanzania with ⁦@YGandye⁩ and my Madaktari Africa team from #Madaktari

@purerfellner Nicely done study. Can you share any more detail about what additional areas were ablate in the substrate modification group? Percentage of posterior wall vs anterior wall etc?

Happy and proud to announce that our article on „Low-Voltage Myocardium-Guided Ablation Trial of Persistent Atrial Fibrillation“ was published in NEJM Evidence today. The first trial ever demonstrating benefit in an individualized PVI+ strategy!

@EduFrancoDiez @pjsm83 @Arritmias_HRC @cris_lozano What defines type II vs type I biatrial flutter? If I do an anterior mitral line because of anterior scar I always ensure that Bachman bundle connections are eliminated so as to pre this development. But requires much more extensive anterior ablation

Type II biatrial atypical flutter after anteroseptal mitral line!! The clue: no full tachy CL could be mapped either in RA or LA. @Arritmias_HRC @cris_lozano #EPeeps #carto3

@PrashSanders @ALFIEEP1 @peterkistler3 @drluissaenz Was there a restudy to see if PWI was durable? Did it fail to improve bc of recurrent PW conduction which is not uncommon even with exit block w high output pacing?

@ALFIEEP1 @peterkistler3 @drluissaenz We did entrance and exit block in CAPLA

Results of CAPLA are not an endorsement of HYBRID CONVERGENT. B4 a hybrid surgical approach can be considered, need RCT comparing HYBRID CONVERGE 1:1 vs catheter PVI+PWI (2 procedures) with intense monitoring. Remember hybrid is 2 procedures(surg & EP) with ⬆️⬆️complications

LA flutter around LSPV using ridge and carina gone in 3 seconds. Initial ablation 2005 w 50W, 8mm tip,ostial segmental isolation. Incredible technology upgrades in 17 yrs. Excellent mapping by Cam Bennett #afib,#carto #centrahealth

@GVenkataramanEP Real for sure. But not an indication for a pacemaker. Had recent bc similar case. Sleep study showed severe OSA and “syncope” resolved with CPAP. This finding suggests OSA but doesn’t necessarily correlate with conduction system disease or need for pacing

8.3 sec asymptomatic pause at 2am in a patient with recurrent syncope without warning. Real or artifact? Enough for pacemaker? #epeeps

We returned to the to JKCI in Tanzania this month! Pictured here are the Madaktari & JKCI team members from the trip. Thank you everyone that contributed their time, talent, and treasure towards our return to Tanzania after an almost two-year hiatus due to the pandemic!

@pjsm83 @MiguelVldrbno @PhilippKrisai @FYang_EP @BrettGidney @FrischMd @bisbal_EP @MoisesManero Similar case recently. Injected directly the sheath without a balloon. Just ensured as good occlusion as I could obtain with the sheath. Worked perfectly. Isthmus blocked

@MattMelcherPA @AbbottCardio Would always do posterior line when there is no anterior scar

Standard PVI/CTI in pt w/ L common trunk. But what I found interesting was in SR 2 LA breakouts at AW & LAA (presumably BB insertions). How would #EPeeps approach MI line if pt returns in MFL? Posterior line? Anterior line? #AbbottAF #HDGrid #TCSE @AbbottCardio

@mcfinlay @ALFIEEP1 Agree that I like ability to control rate to improve catheter stability. Similar to controlling respirate and TV. Better stability equals better lesions. And still utility in testing for AT/afl. Am I the only one still looking beyond PVI on first ablation?

@ALFIEEP1 CS catheter is just unnecessary in routine PVI in 2022! IMHO 🦖🦕use it to mark for TSP (or if 💩 x-ray). Plenty of easy safe ways for TSP that just don't need it. Sure it's a habit from a decade+ ago but what's the point for the quad in the CS? Evolve, my friends.

Doing PVI over years and years we have learnt to minimize how we are invasive with patients. We still insert CS catheter in all patients but I know EPs avoiding this. Any more advocates to avoid CS catheter in PVI cases ?

😂😂

@DanielPMorin @OchsnerEP @OchsnerCardio @OchsnerEdu @BSCCardiology What kind of thresholds are you getting? Any different than with the 3830 system?

First in New Orleans: His bundle pacing implant using the Boston Scientific dedicated HBP platform. A great result! @OchsnerEP @OchsnerCardio @OchsnerEdu @BSCCardiology #dontdisthehis